Individual provider Active NPI

Katherine Leblanc, PA-C

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1043812555
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022
Phone
(225) 261-4493
Fax
(866) 657-2791
NPI assigned
Nov 10, 2020
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022

Mailing address

11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022
Phone (225) 261-4493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311000429 LA Practitioner - Physician Assistant 5496161762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Stat Care LLCGroup PAC ID 3870028491, 17 clinicians
Healthremede, LLCGroup PAC ID 1850520057, 9 clinicians

Practice addresses (Care Compare)

11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022
Phone 22526144931

13466 Vera McGowan Rd
Walker, LA 70785-8508
Phone (225) 380-1720

3235 Perkins Rd
Baton Rouge, LA 70808-2256
Phone (225) 387-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Internal Medicine Associates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kleblanc29058@brgeneralhealthsystem.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1043812555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 SHOE CREEK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184022",
            "telephone_number": "225-261-4493",
            "fax_number": "866-657-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 SHOE CREEK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184022",
            "telephone_number": "225-261-4493",
            "fax_number": "866-657-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.